Is self-weighing an effective tool for weight loss: a systematic literature review and meta-analysis

International Journal of Behavioral Nutrition and Physical Activity

Review

Paul Aveyard¹  Amanda J. Daley²  Kate Jolly²  Claire D. Madigan³  Amanda L. Lewis⁴ 

[1] Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, OX2 6GG, Oxford, UK;School of Health and Population Sciences, University of Birmingham, B15 2TT, Edgbaston, Birmingham, UK;School of Health and Population Sciences, University of Birmingham, B15 2TT, Edgbaston, Birmingham, UK;The Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, The University of Sydney, Level 2 Charles Perkin Centre D17, 2006, Sydney, NSW, Australia;School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, BS8 2PS, Bristol, UK;

关键词: Self-weighing;    Obesity;    Public health;    Treatment;   

DOI  :  10.1186/s12966-015-0267-4

 received in 2015-02-20, accepted in 2015-08-13,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThere is a need to identify effective behavioural strategies for weight loss. Self-weighing may be one such strategy.PurposeTo examine the effectiveness of self-weighing for weight loss.MethodsA systematic review and meta-analysis of randomised controlled trials that included self-weighing as an isolated intervention or as a component within an intervention. We used sub groups to analyse differences in frequency of weighing instruction (daily and weekly) and also whether including accountability affected weight loss.ResultsOnly one study examined self-weighing as a single strategy and there was no evidence it was effective (-0.5 kg 95 % CI -1.3 to 0.3). Four trials added self-weighing/self-regulation techniques to multi-component programmes and resulted in a significant difference of -1.7 kg (95 % CI -2.6 to -0.8). Fifteen trials comparing multi-component interventions including self-weighing compared with no intervention or minimal control resulted in a significant mean difference of -3.4 kg (95 % CI -4.2 to -2.6). There was no significant difference in the interventions with weekly or daily weighing. In trials which included accountability there was significantly greater weight loss (p = 0.03).ConclusionsThere is a lack of evidence of whether advising self-weighing without other intervention components is effective. Adding self-weighing to a behavioural weight loss programme may improve weight loss. Behavioural weight loss programmes that include self-weighing are more effective than minimal interventions. Accountability may improve the effectiveness of interventions that include self-weighing.

【 授权许可】

CC BY   
© Madigan et al. 2016